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J Clin Med. 2018 Nov 23;7(12). doi: 10.3390/jcm7120471.

Fatigue is Highly Prevalent in Patients with Asthma and Contributes to the Burden of Disease.

Journal of clinical medicine

Maarten Van Herck, Martijn A Spruit, Chris Burtin, Remco Djamin, Jeanine Antons, Yvonne M J Goërtz, Zjala Ebadi, Daisy J A Janssen, Jan H Vercoulen, Jeannette B Peters, Melissa S Y Thong, Jacqueline Otker, Arnold Coors, Mirjam A G Sprangers, Jean W M Muris, Emiel F M Wouters, Alex J van 't Hul

Affiliations

  1. REVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. [email protected].
  2. Department of Research and Education, CIRO, Centre of Expertise for Chronic Organ Failure, 6085 NM Horn, The Netherlands. [email protected].
  3. REVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. [email protected].
  4. Department of Research and Education, CIRO, Centre of Expertise for Chronic Organ Failure, 6085 NM Horn, The Netherlands. [email protected].
  5. Department of Respiratory Medicine, Maastricht University Medical Center (MUMC+), 6229 HX Maastricht, The Netherlands. [email protected].
  6. NUTRIM School of Nutrition and Translational Research in Metabolism, 6229 ER Maastricht, The Netherlands. [email protected].
  7. REVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Faculty of Rehabilitation Sciences, Hasselt University, 3590 Diepenbeek, Belgium. [email protected].
  8. Department of Respiratory Medicine, Amphia Hospital, 4818 CK Breda, The Netherlands. [email protected].
  9. Department of Pulmonary Medicine, Radboud University Medical Center (Radboudumc), 6525 GA Nijmegen, The Netherlands. [email protected].
  10. Department of Research and Education, CIRO, Centre of Expertise for Chronic Organ Failure, 6085 NM Horn, The Netherlands. [email protected].
  11. Department of Medical Psychology, Radboudumc, 6525 GA Nijmegen, The Netherlands. [email protected].
  12. Department of Research and Education, CIRO, Centre of Expertise for Chronic Organ Failure, 6085 NM Horn, The Netherlands. [email protected].
  13. Centre of expertise for palliative care, MUMC+, 6229 HX Maastricht, The Netherlands. [email protected].
  14. Department of Medical Psychology, Radboudumc, 6525 GA Nijmegen, The Netherlands. [email protected].
  15. Department of Medical Psychology, Radboudumc, 6525 GA Nijmegen, The Netherlands. [email protected].
  16. Department of Medical Psychology, Amsterdam University Medical Centers, location AMC, 1105 AZ Amsterdam, The Netherlands. [email protected].
  17. Member of Lung Foundation Netherlands, 3818 LE Amersfoort, The Netherlands. [email protected].
  18. Member of Patient Advisory Board, Radboudumc, 6525 GA Nijmegen, The Netherlands. [email protected].
  19. Department of Medical Psychology, Amsterdam University Medical Centers, location AMC, 1105 AZ Amsterdam, The Netherlands. [email protected].
  20. Department of General Practice, MUMC+, 6229 HX Maastricht, The Netherlands. [email protected].
  21. Department of Research and Education, CIRO, Centre of Expertise for Chronic Organ Failure, 6085 NM Horn, The Netherlands. [email protected].
  22. Department of Respiratory Medicine, Maastricht University Medical Center (MUMC+), 6229 HX Maastricht, The Netherlands. [email protected].
  23. Department of Pulmonary Medicine, Radboud University Medical Center (Radboudumc), 6525 GA Nijmegen, The Netherlands. [email protected].

PMID: 30477110 PMCID: PMC6306949 DOI: 10.3390/jcm7120471

Abstract

The 2018 update of the Global Strategy for Asthma Management and Prevention does not mention fatigue-related symptoms. Nevertheless, patients with asthma frequently report tiredness, lack of energy, and daytime sleepiness. Quantitative research regarding the prevalence of fatigue in asthmatic patients is lacking. This retrospective cross-sectional study of outpatients with asthma upon referral to a chest physician assessed fatigue (Checklist Individual Strength-Fatigue (CIS-Fatigue)), lung function (spirometry), asthma control (Asthma Control Questionnaire (ACQ)), dyspnea (Medical Research Council (MRC) scale), exercise capacity (six-minute walk test (6MWT)), and asthma-related Quality-of-Life (QoL), Asthma Quality of Life Questionnaire (AQLQ) during a comprehensive health-status assessment. In total, 733 asthmatic patients were eligible and analyzed (47.4 ± 16.3 years, 41.1% male). Severe fatigue (CIS-Fatigue ≥ 36 points) was detected in 62.6% of patients. Fatigue was not related to airflow limitation (FEV1,

Keywords: asthma; fatigue; quality of life

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